ID

Question 1

how to test for EBV

Answer 1

monospot, heterophile AB

viral capsid Ag IgM 100%

Question 2

rabies

Answer 2

vaccine 0, 3, 7, 14, 28 + rabies IG

Question 3

Roseola

Answer 3

HHV 6

high fever for 3 days THEN rash

Question 4

how to test for HIV

Answer 4

4th gen, HIV1/HIV2 AB, NAT

Question 5

when to give shingles vaccine

Answer 5

shingrix given at age 50, give booster 2-6 months after

Question 6

cryptocococcosis

Answer 6

india ink, amphotericin

Question 7

histoplasmosis

Answer 7

miliary pneumonia

Question 8

PCP pneumo

Answer 8

increased LDH

b/l crackles

Question 9

syphilus testing

Answer 9

RPR/VDRL for screen
TP-EIA is better
FTA-ABS is confirmatory

Question 10

TB testing

Answer 10

PPD

AFB culture gold standard

Question 11

entamoeba histolytica

Answer 11

bloody diarrhea, liver abscess, eosinophilia, fecal wbc

tx metronidazole

Question 12

hiardia

Answer 12

contaminated water, non-bloody diarrhea, no eosinophilia, no fecal wbc

Question 13

hookworm tx

Answer 13

albendazole

Question 14

ascaris lumbricoies

Answer 14

roundworm

albendazole

Question 15

malaria

Answer 15

MCC hemolytic anemia, get peripheral blood smears,

tx hydroxychloroquine

Question 16

toxoplasmosis

Answer 16

pyrimethamine sulfadiazine, folinic acid,ring enhanced lesion

Question 17

cholera

Answer 17

rice water, rehyrdrate

gram -

Question 18

salmonella

Answer 18

non bloody diarrhea, rose spot rash

gram-

Question 19

shigella

Answer 19

toxic appearing bloody diarrhea

gram -

Question 20

E. Colo 157H7

Answer 20

gram -

no anbx

Question 21

tetanus

Answer 21

unknown vaccine with clean wound give booster

dirty wound give IG + booster

Question 22

RMSF

Answer 22

rash on hands/wrists spread toward center

Question 23

Dengue

Answer 23

fever, retroorbital pain/headache, macular rash, bleeding, leuko/thrombocytopenia

Question 24

secondary syphillus

Answer 24

maculopapular rash that begins on trunk and extends to hands